LAURIER H BOURQUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058595

License Status

NOT RENEWED

Business

First Name

LAURIER H

Last Name

BOURQUE

Business Name

LAURIER H BOURQUE

Original Issue Date

10/28/1972

Effective Date

10/28/1972

Expiration Date

01/01/1997

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005